| NPI | 1518626092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 186324) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |